JENNIFER WALDO - NPI 1245687789 - Peer Specialist in Portland, OR

Q: What is Jennifer Waldo's NPI number?

The NPI number for Jennifer Waldo is 1245687789. It was assigned to this individual provider in the NPPES registry on May 14, 2016.

Q: What is Jennifer Waldo's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Waldo was last updated on May 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jennifer Waldo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER WALDO (NPI 1245687789) is an individual peer specialist in Portland, Oregon and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1245687789

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameJENNIFER WALDO

Location Address805 SE 151ST AVEPortland, OR 97233-2916

Mailing Address805 Se 151st AvePortland, OR 97233-2916 · (971) 271-7270 · Fax (971) 302-6055

Phone(971) 271-7270

Fax(971) 302-6055

Sole ProprietorNo

Enumeration DateMay 14, 2016

✔ NPI 1245687789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

805 SE 151ST AVE, Portland, OR 97233

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEEDRA LAMBERT CPSP

Peer Specialist